Provider Demographics
NPI:1023693397
Name:UNCONSTIPATED KIDS LLC
Entity type:Organization
Organization Name:UNCONSTIPATED KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LEAD THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:MERINGOLO
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:903-600-6313
Mailing Address - Street 1:20414 SPRING ROSE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7282
Mailing Address - Country:US
Mailing Address - Phone:903-600-6313
Mailing Address - Fax:855-743-0078
Practice Address - Street 1:20414 SPRING ROSE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-7282
Practice Address - Country:US
Practice Address - Phone:903-600-6313
Practice Address - Fax:855-743-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty